多层螺旋CT在右肺中叶综合征病因诊断中的价值  

The value of multilayer helical CT in the diagnosis of the cause of mid-lung syndrome

作　　者：崔晓宁 

机构地区：[1]山西省运城市第二医院影像中心,山西运城044000

出　　处：《影像研究与医学应用》2017年第2期5-7,共3页Journal of Imaging Research and Medical Applications

摘　　要：目的:探讨多层螺旋CT对右肺中叶综合征病因诊断的价值。方法:收集2010年3月—2015年7月42例经手术、病理证实或临床治愈的右肺中叶综合征患者的影像资料,进行分析。结果:引起右肺中叶综合征的原因炎症22例,占52.3%,CT表现支气管壁弥漫水肿增厚,管腔变窄;结核10例,占23.8%,CT表现支气管壁不均匀增厚,周围淋巴结肿大、钙化;肿瘤6例,占14.3%,CT表现右肺肺癌,肺门多发淋巴结肿大;结节病2例,占4.8%,CT表现双肺门对称性淋巴结肿大,支气管血管束增粗;支气管扩张和创伤性湿肺各1例。结论:多层螺旋CT对右肺中叶综合征的诊断具有明显优势,可作为明确病因的首选检查。Objective： To explore the value of multilayer spiral CT to the diagnosis of the cause of mid-lung syndrome, Methods： The data of 42 patients with mid-lung syndrome from March 2010 to luly 2015 were collected and analyzed. Results： There were 22 cases of inflammation in the right midsection of the lung, 52.3 percent of the cases of inflammation and the thickening of the bronchial wall and the narrowing of the lumen. 10 cases of tuberculosis, 23.8%, were characterized by uneven thickening of the bronchial wall, swelling and calcification of lymph nodes. Tumor 6 cases, 14.3%, CT showed lung cancer in the right lung and enlarged lymph nodes in the lung. There are two cases of sarcoidosis, which are 4.8 percent, and CT shows the symmetrically enlarged lymph nodes and enlarged bronchovascular bundles. Conclusion： Multi-layer spiral CT has a clear advantage in the diagnosis of mid-lung syndrome.

关 键 词：右肺中叶综合征 多层螺旋CT(MSCT) 病因 诊断 

分 类 号：R445[医药卫生—影像医学与核医学]